Evidence map›Paper›PMID 20595307›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA

Effects of a computer-supported interactive tailored patient assessment tool on patient care, symptom distress, and patients' need for symptom management support: a randomized clinical trial.

Cornelia M Ruland, Harald H Holte, Jo Røislien, Cathy Heaven, Glenys A Hamilton, Jørn Kristiansen, Heidi Sandbaek, Stein O Kvaløy, Line Hasund, Misoo C Ellison

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 12 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 12 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Pooled it
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  3. Can electronic assessment tools improve the process of shared decision-making? A systematic review.Health information management : journal of the Health Information Management Association of Australia · 2023
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  8. A systematic review of randomised controlled trials evaluating the use of patient-reported outcome measures (PROMs).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Pooled it
  9. Effectiveness of Internet-based interventions in managing chemotherapy-related symptoms in patients with cancer: a systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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  14. Development and evaluation of the Cancer Symptom Management System: Symptom Management Improves your LifE (SMILE)-a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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  17. Feasibility and acceptance of electronic monitoring of symptoms and syndromes using a handheld computer in patients with advanced cancer in daily oncology practice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    Trial
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  19. Development and Content Validity of the Clinical Needs Assessment for Myalgic Encephalomyelitis (CNAME).Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Cornelia M RulandCenter for Shared Decision Making and Nursing Research, Rikshospitalet, Oslo University Hospital, Oslo, Norway. cornelia.ruland@rr-research.no
Harald H Holte
Jo Røislien
Cathy Heaven
Glenys A Hamilton
Jørn Kristiansen
Heidi Sandbaek
Stein O Kvaløy
Line Hasund
Misoo C Ellison
Oslo University Hospital · NOUniversity of Oslo · NOThe Christie NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the effects of a computer-assisted, interactive tailored patient assessment (ITPA) tool in oncology practice on: documented patient care, symptom distress, and patients' need for symptom management support during treatment and rehabilitation. DESIGN AND

methodsFor this repeated measures clinical trial at a university hospital in Norway, 145 patients starting treatment for leukemia or lymphoma were randomly assigned to either an intervention (n=75) or control group (n=70). Both groups used the ITPA for symptom assessments prior to inpatient and outpatient visits for up to one year. The assessment summary, which displayed patients' self-reported symptoms, problems, and distress in rank-order of the patient's need for support, was provided to physicians and nurses in the intervention group only but not in the control group.

resultsSignificantly more symptoms were addressed in the intervention group patient charts versus those of the control group. Symptom distress in the intervention group decreased significantly over time in 11 (58%) of 19 symptom/problem categories versus 2 (10%) for the control group. Need for symptom management support over time also decreased significantly more for the intervention group than the control group in 13 (68%) symptom categories.

conclusionThis is the first study to show that an ITPA used in an interdisciplinary oncology practice can significantly improve patient-centered care and patient outcomes, including reduced symptom distress and reduced need for symptom management support.

Indexed as

Quality of LifeSocial SupportTherapy, Computer-AssistedUser-Computer InterfaceAdultDepressionHumansLeukemiaLinear ModelsLymphomaNorwayPatient-Centered CareSingle-Blind Method

Identifiers

PMID20595307
PMCPMC2995659
OpenAlexW2150406499

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.